Residual Functional Capacity Childhood Mental Disorders Page 2

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(6) Health and physical well-being.
The SSA Medical Listing which describes Schizophrenic, Delusional (Paranoid),
Schizoaffective, and Other Psychotic Disorders have been consulted and reviewed in
conjunction with the preparation of this RFC form. Specifically:
112.03 Schizophrenic, Delusional (Paranoid), Schizoaffective, and Other Psychotic
Disorders: Onset of psychotic features, characterized by a marked disturbance of thinking,
feeling, and behavior, with deterioration from a previous level of functioning or failure to
achieve the expected level of social functioning. The required level of severity for these
disorders is met when the requirements in both A and B are satisfied.
A. Medically documented persistence, for at least 6 months, either continuous or
intermittent, of one or more of the following:
1. Delusions or hallucinations; or
2. Catatonic, bizarre, or other grossly disorganized behavior; or
3. Incoherence, loosening of associations, illogical thinking, or poverty of content
of speech; or
4. Flat, blunt, or inappropriate affect; or
5. Emotional withdrawal, apathy, or isolation;
AND
B. For older infants and toddlers (age 1 to attainment of age 3), resulting in at least one of
the appropriate age-group criteria in paragraph B1 of 112.02; or, for children (age 3 to
attainment of age 18), resulting in at least two of the appropriate age-group criteria in
paragraph B2 of 112.02.
Include All Test Results
Include all tests including psychological tests, reports, and observations from medical sources
upon which this RFC is based. The medical record should contain a medical history, mental
status evaluations, and results of psychological tests, diagnoses, treatments prescribed and what
your response was, symptoms from treatment, and prognosis.
Professional and Non-Professionals
This RFC form can be used to document reports from people who are not professional health
care or mental health care providers, including family, friends, teachers, coworkers, supervisors,
social workers, and staff in supported living environments. Often they are more familiar with the
impact that the diagnosed disability has upon the life of the claimant.
Mental Functional Assessment – Page Number 2

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